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             Illinois Department of Revenue

             REG-1 Illinois Business Registration Application 

Register faster using MyTax Illinois available at mytax.illinois.gov  . If you have questions, visit our website at tax.illinois.gov, email us at 
REV.CRD@Illinois.gov, or call us weekdays between 8:00 a.m. and 4:30 p.m. at 217 785-3707.
    Step 1:  Identify your business or organization                                                                                                   6      Check the organization type that applies to you:
      1 Federal employer identification number (FEIN)                                                                                                        q Proprietorship
        FEIN:  ______ - __________________                                                                                                                     ____ Check if owned by a married couple or civil union
        Proprietorships must provide the Social Security number (SSN)                                                                                        q Partnership                         q                   Trust or estate
    under    which taxes will be filed.                                                                                                                      q Corporation  *                      q                   S Corp (Subchapter S Corporation)*
        SSN:   _________ - ______ - ____________                                                                                                               * Is your corporation publicly traded?  ___ Yes      ___ No
      2 Legal business name:                                                                                                                                   If yes, provide the ticker symbol ____________
                                                                                                                                                             q Governmental unit                   q                   Not-for-profit organization
         ___________________________________________________                                                                                                 q LLC - Corporation       q                               LLC - Partnership
                                                                                                                                                        
      3 Doing-business-as (DBA), assumed, or trade name,  if different  
        from Line 2:                                                                                                                                         q  LLC - S Corporation    q                               LLC - Single member 
                                                                                                                                                               ____ Check if your organization type is disregarded 
         ___________________________________________________ 
      4 Primary or legal business address:                                                                                                              7    Illinois Secretary of State identification number:
                                                                                                                                                          ___ - ___ ___ ___ ___ - ___ ___ ___ - ___
        ___________________________________________________
        Street address - No PO Box number                                  Apartment or suite number
                                                                                                                                                        8    Is your business part of a unitary group?  ___ Yes     ___ No
        ___________________________________________________                                                                                               If “Yes”, provide the FEIN of your designated agent (the entity
                 City                                                                                        State                           ZIP      
                                                                                                                                                          responsible for filing your Illinois income tax return):
        If you have other locations in Illinois from where you do  
        business, complete and attach Schedule REG-1-L.                                                                                                   FEIN:  ______ - __________________
      5 Mailing address if different from the address above:                                                                                            9    Identify a contact person regarding your business.
        ___________________________________________________                                                                                                  Name: __________________________ Title: _____________
        In-care-of name
                                                                                                                                                          Phone:  (______) ______ - ________   Ext.: __________
        ___________________________________________________
        Street address or PO Box number                                    Apartment or suite number                                                      FAX:    (______) ______ - ________
        ___________________________________________________                                                                                                Email address:     ______________________________________
        City                                                               State   ZIP

    Step 2:  Identify your owners and officers - If you need to identify more, attach Schedule REG-1-O.
    10  Identification depends on the organization type you selected in Step 1, Line 6 (proprietorship - owner(s); partnership - general partners; non-publicly traded  
        corporation - president, secretary, and treasurer; publicly traded corporation - chief operating officer and chief financial officer; trust or estate - trustee(s) or 
        executor(s); governmental unit - one contact person; not-for-profit organization - president, secretary, or treasurer; limited liability company - managers and  
        members). For each individual or business required, complete the following information.
Individuals: (include Social Security number (SSN))
    a        ___________________________________     _________________                                                                                   d     ___________________________________                             _________________
             Name                                    Title                                                                                                     Name                                                            Title 
              ______________________________________________________                                                                                                ______________________________________________________           
             Home address - No PO Box number             City                                State              ZIP                                            Home address - No PO Box number             City                                State              ZIP
             ____ / ____ / ________            (______) ______ - ________                                                                                      ____ / ____ / ________                                    (______) ______ - ________    
             Date of birth                     Phone                                                                                                           Date of birth                                             Phone 
             _______ - _____ - _________  Ownership percentage: ______                                                                                         _______ - _____ - _________  Ownership percentage: ______ 
             Social Security number                                                                                                                            Social Security number
    b        ___________________________________     _________________                                                                                 Businesses: (include federal employer identification number (FEIN))
             Name                                    Title                                                                                               a     ___________________________________ ____-_____________ 
              ______________________________________________________                                                                                           Name                                                            FEIN
             Home address - No PO Box number             City                                State              ZIP                                            ______________________________________________________           
                                                                                                                                                               Legal  address                                          
             ____ / ____ / ________            (______) ______ - ________                                                                                      ______________________________________________________           
             Date of birth                     Phone                                                                                                           City                                                                                                State                     ZIP 
             _______ - _____ - _________  Ownership percentage: ______                                                                                         (______) ______ - ________    Ownership percentage: ______
             Social Security number                                                                                                                            Phone  
    c        ___________________________________     _________________                                                                                         ___________________________________ ____-_____________ 
             Name                                    Title                                                                                               b
                                                                                                                                                               Name                                                            FEIN
              ______________________________________________________                                                                                           ______________________________________________________           
             Home address - No PO Box number             City                                State              ZIP                                            Legal  address                                          
             ____ / ____ / ________            (______) ______ - ________                                                                                      ______________________________________________________           
             Date of birth                     Phone                                                                                                           City                                                                                                State                     ZIP 
                                                                                                                                                               (______) ______ - ________    Ownership percentage: ______
             _______ - _____ - _________  Ownership percentage: ______                                                                                         Phone  
             Social Security number
    REG-1 (R-06/24)                                                                                                                                                                                 *74506241W*

  Step 3:  Tell us about your business activities                             Services
11 Describe your business activities: ______________________                  Do you transfer items, on which tax must be collected, as part of your 
     ____________________________________________                             service?   ____ Yes    ____ No
    Provide your North American Industry Classification System                When will (did) this activity begin?  ____/____/_____
   (NAICS) number: ___________________________________                        Purchaser (Self-assessed Use Tax)
     Refer to the website www.naics.com                                       Does your supplier collect Illinois Sales Tax for merchandise your 
12   Will you have Illinois employees?    ____ Yes    ____ No                 business uses or consumes in Illinois?                                                                 ____ Yes    ____ No
     If yes, complete and attach Schedule REG-UI-1.                           Does your supplier collect Illinois Sales Tax on sales of aviation fuel 
     When was (is) the date of your first payroll in Illinois?                your business uses or consumes in Illinois?  ____ Yes    ____ No
      ____/____/_____                                                         When will (did) these activities begin?  ____/____/_____
13 Check all that apply to your type of business.                             Cigarettes and other tobacco products
  Sales and Use Tax                                                           q Cigarettes - See Schedule REG-1-C before you check here.
When will (did) these activities begin?  ____/____/_____                      q Tobacco products - See Schedule REG-1-C before you check here.
   You must complete and attach Schedule REG-1-L to identify all Illinois     q Cigarette machine operator - See Schedule REG-1-C before you
locations from which you must collect the local sales tax rate.               check here.
q    General merchandise:  ____ Retail    ____ Wholesale                      When will (did) these activities begin?  ____/____/_____
Note: Refer to the Leveling the Playing Field Resource Page for
                                                                              Renting or leasing
guidance on registering for Retailers’ Occupation Tax.                        q Hotel rooms for less than 30 days - Attach Schedule REG-1-L.
Do you estimate your monthly sales and use tax liability will be over         Are you registering as a re-renter of hotel rooms?____ Yes    ____ No
$200?    ____ Yes    ____ No                                                  Do you charge for telecommunication services?____ Yes    ____ No
q Sales to Illinois customers from out of state                               q Vehicles for one year or less - Attach Schedule REG-1-L.
   ____ Check if you have an Illinois presence, including, but                q Vehicles for more than one year
   not limited to having an office or other facility in Illinois or having
                                                                              When will (did) these activities begin?  ____/____/_____
   employees or other representatives operating in Illinois.
                                                                              Utility Service Providers
   ____  Check if you have inventory in Illinois or if your Illinois presence q Electricity:  ____ Retail    ____ Wholesale
   is due to inventory within the state. Attach Schedule REG-1-L.             q Natural gas:  ____ Retail    ____ Wholesale
   ____ Check if you make $100,000 or more in annual sales from               q Telecommunications - See Schedule REG-1-T.
   your own sales to Illinois purchasers.                                      ____ Retail    ____ Wholesale
   ____ Check if you make 200 or more separate transactions                   q Water or sewer services
   annually from your own sales to Illinois purchasers.                       Do you choose to voluntarily collect the Water and Sewer Assistance
Are you registering as an out of state remote retailer?                       Charge for:       ____ Water        ____ Sewer
____ Yes    ____ No                                                           Are you a utility cooperative?    ____ Yes    ____ No
When will (did) these activities begin?  ____/____/_____                      Are you a municipality?    ____ Yes    ____ No
q Check if you are a marketplace facilitator-Attach Schedule REG-1-MKP.
                                                                              When will (did) these activities begin?  ____/____/_____
q Soft drinks (other than fountain soft drinks) in Chicago
                                                                              All other tax types
q Vehicle, watercraft, aircraft, or trailers                                  q Liquor warehousing - Attach Schedule REG-1-A.
q Sales or delivery of tires. Do you always pay the Tire User Fee to          q Dry cleaning:  ____ Facility    ____ Solvent supplier
your supplier?    ____ Yes    ____ No                                         q Own/operate coin-operated amusement devices
q Sales from vending machines. How many vending  machines? ____               q You wish to purchase electricity for non-residential use and pay
q Liquor at retail (bar, tavern, liquor store, etc.)                          the tax to IDOR - Attach Schedule REG-1-D.
q Motor fuel/fuel:  ____ Retail    ____ Wholesale - Attach Form REG-8-A       q You wish to purchase natural gas from outside of Illinois for your
   ____ Check here if you are required to collect prepaid sales tax.
q Sales of Motor Fuel in a county that imposes County Motor Fuel Tax          own use and pay the tax to IDOR - Attach Schedule REG-1-G.
q Sales of Motor Fuel in a municipality that imposes Municipal Motor Fuel Tax q Not listed. Identify: _________________________________
q Aviation fuel:  ____ Retail    ____ Wholesale                               When will (did) these activities begin?  ____/____/_____
   (if wholesale, attach Form REG-8-A)
q Medical cannabis - Attach Schedule REG-1-MC.
   ____ Cultivation Center    ____ Dispensing Organization
When will (did) these activities begin?  ____/____/_____
Step 4:  Sign below - Under penalties of perjury, I state that I have examined this information and, to the best of my knowledge, it is true,
correct, and complete. I further attest that I will be responsible for filing returns and paying all taxes due unless Schedule REG-1-R, Responsible 
Party Information, is attached to this application or forwarded to the department. Check here if you are attaching or forwarding Schedule REG-1-R: q 
Signature:     _______________________________________                        Title:  ________________________                                                                       Date:  ___/___/______  
Printed name:   _______________________________________                       SSN:    ______ - _____ - _________
Address:     _______________________________________                          Phone:  (______) ______ _________ - 

   Mail your completed form, with any required                   CENTRAL REGISTRATION DIVISION 
   attachments and payment to:                                     ILLINOIS DEPARTMENT OF REVENUE
                                                                   PO BOX 19030  
                                                                   SPRINGFIELD IL 62794-9030
   This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this information is required. Failure to provide 
   information may result in this form not being processed and may result in a penalty. Printed by the authority of the state of Illinois REG-1 (R-06/24) - Web only - One copy      *74506242W*
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